IV push, single drug at Avita Ontario Hospital. CPT 96374.
What Avita Ontario Hospital publishes for this service, straight from its standard-charges file, last updated March 23, 2026.
Outpatient / ER
$98.60cash price (self-pay)
$116list price
$40.60–$5,629range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare_Outpatient | $40.60 |
| Anthem | Medicare_Outpatient | $40.60 |
| Buckeye | Medicare_Outpatient | $40.60 |
| Humana | Medicare_Outpatient | $40.60 |
| Traditional_Medicare | Outpatient | $40.60 |
| Mount_Carmel | Medicare_Outpatient | $40.60 |
| Molina | Medicare_Outpatient | $40.60 |
| United_HealthCare | Medicare_Outpatient | $40.60 |
| Medical_Mutual | Medicare_Outpatient | $41.41 |
| Molina | Marketplace_Outpatient | $59.39 |
| Anthem | Blue_Access_Blue_Preferred | $64.74 |
| Anthem | Traditional_Blue_Access_Blue_Preferred | $70.18 |
| Anthem | Blue_Access_I-II_Enhanced_Choice_Pathway_X | $70.76 |
| Caresource | Medicaid_Outpatient | $76.86 |
| Traditional_Medicaid | Outpatient | $76.86 |
| Molina | Medicaid_Outpatient | $76.86 |
| OhioRise | Medicaid_Outpatient | $76.86 |
| United_HealthCare | Medicaid_Outpatient | $76.86 |
| Anthem | Pathway_Group_HMO_Pathway_X | $76.91 |
| Anthem | Medicaid_Outpatient | $79.17 |
| AmeriHealth | Medicaid_Outpatient | $80.70 |
| Buckeye | Medicaid_Outpatient | $83.12 |
| Humana_Horizons | Medicaid_Outpatient | $83.12 |
| Cigna | Commercial | $90.36 |
| Medical_Mutual | Commercial | $92.80 |
| Aetna | All_Commercial | $98.60 |
| United_HealthCare | Commercial | $98.60 |
| Anthem | Medicare_Inpatient | $3,518 |
| Buckeye | Medicare_Inpatient | $3,518 |
| Humana | Medicare_Inpatient | $3,518 |
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